Jacob Leedekerken, in Gainesville, GA - Medicare Emergency Medicine

Jacob Leedekerken, is a medicare enrolled "Emergency Medicine" physician in Gainesville, Georgia. He went to George Washington University School Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Mississippi Emergency Department Services Pc and his current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-1200.

Jacob Leedekerken is licensed to practice in North Carolina (license number 238485) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003312067.

Contact Information

	Jacob Leedekerken,
	743 Spring St Ne, Gainesville, GA 30501-3715
	(770) 219-1200
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Leedekerken
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	743 Spring St Ne, Gainesville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Leedekerken attended and graduated from George Washington University School Of Medicine in 2018

NPI Data:

NPI Number: 1003312067
Provider Enumeration Date: 03/30/2018
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 4486901816
Enrollment ID: I20241227001924

Medical Identifiers

Medical identifiers for Jacob Leedekerken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003312067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	238485 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center Lumpkin	Dahlonega, GA	Hospital
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital
Garden Park Medical Center	Gulfport, MS	Hospital
Singing River Health System	Pascagoula, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mississippi Emergency Department Services Pc	7113453960	50

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Leedekerken allows following entities to bill medicare on his behalf.

Entity Name	Mississippi Emergency Department Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881427961 PECOS PAC ID: 7113453960 Enrollment ID: O20241204001265

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Leedekerken is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Leedekerken, 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: () -	Jacob Leedekerken, 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 219-1200

Reviews and Comments

Emergency Medicine Doctors in Gainesville, GA

Dr. Sharani Umayangani Jayaratne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-1200
Dr. Keith Edwin Leap Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 786-357-9327
Dr. Philippe Gadegbeku, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895
Dr. George Houlditch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146
Heather Holstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000
Jason Sanghwa Oh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000

Jacob Leedekerken, - Medicare Emergency Medicine in Gainesville, GA